Primer Parotis Tüberkülozu: Olgu Sunumu
Primer tüberküloz enfeksiyonu en sık akciğerler, kemik, meninks ve lenf nodu tutulumu ile karşımıza çıkar. Nadir olmakla birlikte primer parotis tüberkülozu parotis kitlesi olarak karşımıza çıkmaktadır. Tanısı ince iğne aspirasyon biyopsisi ile konulabilir. Tanı konulamayan vakalarda parotidektomi sonrası patolojik piyesin incelenmesi ile ''kazeifikasyon nekrozu ve granülomatöz iltihap'' görülmesi primer parotis tüberkülozunu düşündürmektedir. Bu yazıda sağ primer parotis tüberküloz enfeksiyonu olan bir olgu literatür verileri eşliğinde sunulmuştur.
Primary Parotid Tuberculosis: A Case Report
Primary tuberculosis infection mostly involve the lungs, bones, meninx and lymph nodes. The diagnosis can be made by fine-needle aspiration biopsy. The "caseification necrosis and granulomatous inflammation" revealed by the histopathological examination of the specimen following the parotidectomy indicates primary parotid gland tuberculosis in the cases in which the diagnosis cannot be made by fine-needle aspiration biopsy. In this article, we discuss a case with primary tuberculosis infection in the right parotid gland in the light of the relevant literature.
___
- Sethi A, Sareen D, Sabherwal A, Malhotra V. Primary parotid tuberculosis: varied clinical presentations. Oral Dis. 2006;12(2):213-15.
- Yalcın Ş, Celik O, Celik P, Yanık H, İnan E, Ağaoğlu A. Tuberculosis of the parotid gland. Turk J Med Sci. 1995;23:313-16.
- Süoğlu Y, Erdamar B, Çölhan İ, et al. Tuberculosis of the parotid gland. J Laryngol Otol. 1998;112(6):588-91.
- Ozcan C, Apa DD, Aslan G, Gülhan S, Görür K. Myco- bacterium tuberculosis infection within parotid gland Warthin tumor. J Craniofac Surg. 2008;19(6):1561-65.
- Oktay MF, Aşkar I, Yildirim M, Topçu I, Meriç F. Tuber- culous parotitis: a review of seven cases. Kulak Burun
- (Hematoksilen ve eozin boyama x300). Bogaz Ihtis Derg. 2007;17(5):272-77.
- Handa U, Kumar S, Punia RS, Mohan B, Abrol R, Saini V. Tuberculous parotitis: a series of five cases diagno- sed on fine needle aspiration cytology. J Laryngol Otol. 2001;115(3):235-37.
- Dangore-Khasbage S, Bhowate RR, Degwekar SS, Bhake AS, Lohe VK. Tuberculosis of parotid gland: a rare clini- cal entity. Pediatr Dent. 2015;37(1):70-74.
- Bhargava S, Watmough DJ, Chisti FA, et al. Case re- port: tuberculosis of the parotid gland--diagnosis by CT. Br J Radiol. 1996;69(828):1181-83.
- Thakur J, Thakur A, Mohindroo N, Mohindroo S, Shar- ma D. Bilateral parotid tuberculosis. J Glob Infect Dis. 2011;3(3):296-99.
- Dandabat MC, Misha BM, Dash SB. Peripheral lymph node tuberculosis: a review of 80 cases. Br J Surg. 1990;77(8):911-12.
- Biraro IA, Egesa M, Kimuda S, Smith SG, Toulza F, Levin J, et al. Effect of isoniazid preventive therapy on immune responses to mycobacterium tuberculosis: an open label randomised, controlled, exploratory study. BMC Infect Dis. 2015;15:438.
- Boehme CC, Nabeta P, Hillemann D, Nicol MP, Shenai S, Krapp F, et al. Rapid molecular detection of tuberculosis and rifampin resistance. N Engl J Med. 2010;363:1005- 15.
- Touiheme N, Kettani M, Messary A. Primary tuberculo- sis of the parotid gland: report of two cases. Pan Afr Med J. 2014;18:237.